OBJECTIVE:The aim of this study was to investigate the effect of excessive mechanical load caused by obesity on the inspiratory muscle performance in obese men at rest.
METHODS:We therefore measure at rest spirometric flows and the noninvasive tension time index of inspiratory muscle (T Tmus ¼ P I /P Imax  T I /T TOT ) in eight obese male subjects (body mass index (BMI)430) and 10 controls. RESULTS: Spirometric flow (FEV 1 % pred, FVC% pred) and maximal inspiratory pressure (P Imax ) were significantly lower in obese subjects compared to controls (Po0.001). The mean T Tmus was significantly higher in obese subjects than in controls (0.13670.003 vs 0.04570.01). The increase in T Tmus was primarily due to an increase in the ratio of mean inspiratory pressure to maximal inspiratory pressure (P I /P Imax ) and the duty cycle (T I /T TOT ). We found a significant negative relationship between P Imax and BMI (r ¼ À0.74, Po0.001), a positive correlation between T Tmus and BMI (r ¼ 0.80, Po0.001) and a negative correlation between T Tmus and forced expiratory volume in 1 s (r ¼ À0.85, Po 0.001). CONCLUSION: Excessive mechanical load caused by obesity imposes a great burden on the inspiratory muscle, which may predispose such subjects to respiratory muscle weakness at rest.